泰国戒烟改善短期干预措施的成本效益
Rungrat Palakai1, Bundit Sornpaisarn2,3,4, Yothin Sawangdee1
1Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand.
Frontiers in public health
|December 11, 2023
概括
通过有效的培训提高简短干预 (BI) 质量是泰国戒烟最具成本效益的策略. 这种方法提高了可访问性和有效性,从而带来了更好的公共卫生结果.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 泰国的戒烟服务在质量和可访问性方面面临挑战.
- 评估不同简短干预 (BI) 策略的成本效益对于资源分配至关重要.
- 四种策略进行了比较:现状BI,增强培训BI,BI与村卫生志愿者 (VHV) 动员,以及增强培训BI与VHV动员.
研究的目的:
- 估计四个不同的策略的成本效益,以改善短暂干预 (BI) 服务在泰国戒烟.
- 确定增强戒烟干预措施的最有效和最有效的方法.
- 提供基于证据的建议,以优化泰国的戒烟服务.
主要方法:
- 对9年的时间 (2022-2030年) 进行了成本效益分析.
- 通过采访公共卫生官员,医疗保健专业人员和BI专家来收集数据.
- 使用One Health Tool软件来建模成本,吸烟率,避免死亡和获得的健康寿命年数.
主要成果:
- 与现状相比,这三种干预策略均被认为具有成本效益.
- 战略2,专注于BI服务的有效培训,显示出最高的效率和有效性.
- 优化服务交付和管理以及培训是提高质量的建议.
结论:
- 通过有效的培训提高简短干预 (BI) 服务的质量是泰国戒烟最具成本效益的策略.
- 这一战略显著提高了干预措施的可访问性和有效性.
- 这些发现支持扩大以质量为重点的BI服务,与优化培训和管理相结合.
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